Register Your Child for Gateway Youth

First Name *

Last Name *

Gender *

Tip: For Activity Purposes

Date of Birth *

Tip: For Activity Purposes

Child's Mobile Number (If have one)

Allergies Other:

Allergy/Health Action Plan (if required)

Tip: Email any Action Plans to info@gatewaychurch.org.au with Name of Child and required Action Plan for the day if needed.

Are You Dropping Your Child/ren Off to Event?

Yes I'll drop off and collect my child/ren

Would you like to know about carpooling options?

Activity Permissions *

Emergency Contact First Name

Emergency Contact Last Name

Mobile Number

Relationship to Child

Email Address

First Name & Surname

Tip: (Adult Nominee #1)

Relation to child

Tip: (e.g. grandparent, uncle, aunt, sibling etc)

Mobile Number

First Name & Surname

Tip: (Adult Nominee #2)

Relation to child

Tip: (e.g. grandparent, uncle, aunt, sibling etc)

Mobile Number

Register Your Child for Gateway Youth 0